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既往经皮冠状动脉介入治疗(PCI)是否会影响冠状动脉旁路移植术(CABG)的临床结局?

Does prior PCI influence the clinical outcome of CABG?

作者信息

Taggart David P

机构信息

Department of Cardiovascular Surgery, John Radcliffe Hospital, Oxford / University of Oxford, Headington, Oxford, United Kingdom.

出版信息

EuroIntervention. 2009 May;5 Suppl D:D21-4.

Abstract

Many patients who undergo PCI subsequently undergo CABG. Until recently, however, there has been little data in the literature describing the effect of previous PCI on subsequent CABG outcome in terms of mortality or major adverse cardiovascular events (MACE). There are, for obvious reasons, no randomised trials addressing this question. This article summaries the limited observational evidence which does exist and which consistently reports an increase in hospital mortality and MACE in patients with prior PCI.

摘要

许多接受经皮冠状动脉介入治疗(PCI)的患者随后会接受冠状动脉旁路移植术(CABG)。然而,直到最近,文献中几乎没有数据描述既往PCI对随后CABG在死亡率或主要不良心血管事件(MACE)方面结局的影响。出于显而易见的原因,没有针对这个问题的随机试验。本文总结了确实存在的有限观察性证据,这些证据一致报告既往接受PCI的患者住院死亡率和MACE增加。

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